| NPI | 1225160211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3018) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1700638) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-03-05 |